{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T01:39:53Z","timestamp":1760146793070,"version":"build-2065373602"},"reference-count":55,"publisher":"MDPI AG","issue":"24","license":[{"start":{"date-parts":[[2024,12,15]],"date-time":"2024-12-15T00:00:00Z","timestamp":1734220800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Diagnostics"],"abstract":"<jats:p>Background\/Objectives: An electric wire inserted into the bladder or urethra presents a specific challenge that is frequently encountered in such cases: the potential formation of a tight knot, making extraction nearly impossible. The primary objective of this study was to share our personal experience with patients who had intravesical electric cable insertions and to provide an extensive literature review, offering detailed insights into the various strategies reported for managing such foreign body cases. Methods: Of the four cases with a foreign body in the lower urinary tract, two involved patients aged 19 and 53, respectively, who had inserted an electric cable. During their attempt at self-removal, they developed an intravesical knot, as confirmed by radiographic imaging. Results: In the first case, a bipolar approach was used: a cystoscope was inserted transurethrally into the bladder alongside the cable, while a laparoscopic trocar was introduced suprapubically. Using laparoscopic scissors, the cable was successfully cut and removed. In the second case, due to the cable\u2019s size, a direct cystotomy was performed. At the 3-month follow-up, the uroflowmetry results were normal for both patients. A psychiatric evaluation revealed no abnormalities in the first patient, while the second patient was diagnosed with polyembolokoilamania. Conclusions: The removal of self-inserted electric cables from the urethra and bladder is a challenging procedure, often requiring the urologist\u2019s creativity to prevent potential complications. Many cases can be resolved endoscopically; however, even this minimally invasive approach must be tailored to each case to provide the most suitable solution for the patient.<\/jats:p>","DOI":"10.3390\/diagnostics14242825","type":"journal-article","created":{"date-parts":[[2024,12,16]],"date-time":"2024-12-16T09:17:58Z","timestamp":1734340678000},"page":"2825","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Electric Wire in the Urinary Bladder: Surgical Challenges and Comprehensive Literature Insights"],"prefix":"10.3390","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-4279-673X","authenticated-orcid":false,"given":"Daniel","family":"Porav-Hodade","sequence":"first","affiliation":[{"name":"Department of Urology, George Emil Palade University of Medicine, Pharmacy, Science, and Technology of T\u00e2rgu Mure\u0219, 540139 T\u00e2rgu Mure\u0219, Romania"},{"name":"Department of Urology, Clinical County Hospital Mures, 540136 T\u00e2rgu Mures, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raul","family":"Gherasim","sequence":"additional","affiliation":[{"name":"Department of Urology, George Emil Palade University of Medicine, Pharmacy, Science, and Technology of T\u00e2rgu Mure\u0219, 540139 T\u00e2rgu Mure\u0219, Romania"},{"name":"Department of Urology, Clinical County Hospital Mures, 540136 T\u00e2rgu Mures, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ciprian","family":"Todea-Moga","sequence":"additional","affiliation":[{"name":"Department of Urology, George Emil Palade University of Medicine, Pharmacy, Science, and Technology of T\u00e2rgu Mure\u0219, 540139 T\u00e2rgu Mure\u0219, Romania"},{"name":"Department of Urology, Clinical County Hospital Mures, 540136 T\u00e2rgu Mures, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tibor","family":"Reman","sequence":"additional","affiliation":[{"name":"Department of Urology, George Emil Palade University of Medicine, Pharmacy, Science, and Technology of T\u00e2rgu Mure\u0219, 540139 T\u00e2rgu Mure\u0219, Romania"},{"name":"Department of Urology, Clinical County Hospital Mures, 540136 T\u00e2rgu Mures, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bogdan Ovidiu","family":"Feciche","sequence":"additional","affiliation":[{"name":"Department of Urology, Faculty of Medicine and Pharmacy, University of Oradea, 410087 Oradea, Romania"},{"name":"Department of Urology, Emergency County Hospital Oradea, 410169 Oradea, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kosza","family":"Hunor","sequence":"additional","affiliation":[{"name":"Clinic of Urology, Miercurea Ciuc County Hospital, 530173 Miercure Ciuc, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Madalin","family":"Guliciuc","sequence":"additional","affiliation":[{"name":"Department of Surgery, Faculty of Medicine, \u201cDunarea de Jos\u201d University Galati, 800201 Galati, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M\u00e1rtha","family":"Orsolya Katalin Ilona","sequence":"additional","affiliation":[{"name":"Department of Urology, George Emil Palade University of Medicine, Pharmacy, Science, and Technology of T\u00e2rgu Mure\u0219, 540139 T\u00e2rgu Mure\u0219, Romania"},{"name":"Department of Urology, Clinical County Hospital Mures, 540136 T\u00e2rgu Mures, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ioan","family":"Coman","sequence":"additional","affiliation":[{"name":"Department of Urology, Iului Hatieganu University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicolae","family":"Crisan","sequence":"additional","affiliation":[{"name":"Department of Urology, Iului Hatieganu University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2024,12,15]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1258\/shorts.2010.010014","article-title":"\u2018Putting lead in your pencil\u2019: Self-insertion of an unusual urethral foreign body for sexual gratification","volume":"1","author":"Bedi","year":"2010","journal-title":"JRSM Short Rep."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1186\/s12301-021-00180-8","article-title":"PENs in the PENis: A case report and brief review of the literature","volume":"27","author":"Bonatsos","year":"2021","journal-title":"Afr. J. Urol."},{"key":"ref_3","first-page":"e3851","article-title":"Nail Scissor as a Rare Foreign Body in the Urethra: Case Report","volume":"11","author":"Cam","year":"2019","journal-title":"Cureus"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"186","DOI":"10.5213\/inj.2010.14.3.186","article-title":"Unusual Foreign Bodies in the Urinary Bladder and Urethra Due to Autoerotism","volume":"14","author":"Moon","year":"2010","journal-title":"Int. Neurourol. J."},{"key":"ref_5","first-page":"e54592","article-title":"Foreign Body in the Male Urinary Bladder: A Case Report","volume":"16","author":"Venkataramani","year":"2024","journal-title":"Cureus"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"1649","DOI":"10.1016\/j.asjsur.2022.09.110","article-title":"Foreign bodies in the urinary bladder and urethra: A case series","volume":"46","author":"Huang","year":"2023","journal-title":"Asian J. Surg."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"e9440","DOI":"10.1002\/ccr3.9440","article-title":"A self-insertion of the styrofoam in urinary bladder and literature review","volume":"12","author":"Chen","year":"2024","journal-title":"Clin. Case Rep."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1016\/j.jemermed.2021.02.026","article-title":"A Case Report You Can\u2019t Make Up: A Bladder Foreign Body","volume":"61","author":"Winot","year":"2021","journal-title":"J. Emerg. Med."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"97.e1","DOI":"10.1016\/j.jpurol.2015.06.020","article-title":"Management of intravesical self-inflicted sharp objects in children: 10-year single-center experience","volume":"12","author":"Abdelhamid","year":"2016","journal-title":"J. Pediatr. Urol."},{"key":"ref_10","first-page":"74","article-title":"[Urethral foreign bodies. Apropos 2 cases]","volume":"52","year":"1999","journal-title":"Arch. Esp. Urol."},{"key":"ref_11","first-page":"102156","article-title":"Internet Impact on the Insertion of Genitourinary Tract Foreign Bodies in Childhood","volume":"2012","author":"Sinopidis","year":"2012","journal-title":"Case Rep. Pediatr."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"338","DOI":"10.4103\/0974-7796.184904","article-title":"Self-inflicted foreign bodies in lower genitourinary tract in males: Our experience and review of literature","volume":"8","author":"Mahadevappa","year":"2016","journal-title":"Urol. Ann."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"1323","DOI":"10.1007\/s12262-014-1162-y","article-title":"Electric Wire as Foreign Body in the Bladder and Urethra\u2014A Case Report and Review of Literature","volume":"77","author":"Ratkal","year":"2015","journal-title":"Indian J. Surg."},{"key":"ref_14","first-page":"12","article-title":"A Case Report of Electric Wire as Foreign Body in Urinary Bladder","volume":"2","author":"Guitynavard","year":"2020","journal-title":"Transl. Res. Urol."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"181","DOI":"10.5489\/cuaj.3778","article-title":"An unusual case of polyembolokoilamania: Urethral avulsion from foreign object use during sexual gratification","volume":"10","author":"Chan","year":"2016","journal-title":"Can. Urol. Assoc. J."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"bcr2013009216","DOI":"10.1136\/bcr-2013-009216","article-title":"Self-inflicted long complex urethro-vesical foreign body: Is open surgery always needed?","volume":"2013","author":"Garg","year":"2013","journal-title":"BMJ Case Rep."},{"key":"ref_17","first-page":"242","article-title":"[Video game cable in urethral meatus with ball retained in bladder. First case in the world.]","volume":"73","year":"2020","journal-title":"Arch. Esp. Urol."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"e14346","DOI":"10.1111\/and.14346","article-title":"Sexual dysfunction associated with chronic retention of foreign bodies in the low urinary tract","volume":"54","author":"Zhang","year":"2022","journal-title":"Andrologia"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"bcr-2018-225353","DOI":"10.1136\/bcr-2018-225353","article-title":"Knotted electric wire in urinary bladder: Can such complex foreign body be retrieved endoscopically!","volume":"2018","author":"Agarwal","year":"2018","journal-title":"BMJ Case Rep."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"120","DOI":"10.5534\/wjmh.2014.32.2.120","article-title":"Successful Removal of an Intravesical Electrical Wire Cable","volume":"32","author":"Ahn","year":"2014","journal-title":"World J. Mens Health"},{"key":"ref_21","first-page":"e16322","article-title":"A Self-Inserted Foreign Body in the Urinary Bladder and Urethra","volume":"13","author":"Tuncer","year":"2021","journal-title":"Cureus"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"639","DOI":"10.1089\/lap.2010.0078","article-title":"Removal of Long, Complex Foreign Bodies from Bladder Using Single Laparoscopic Port Under Pneumovesicum","volume":"20","author":"Ko","year":"2010","journal-title":"J. Laparoendosc. Adv. Surg. Tech."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"20160013","DOI":"10.1515\/ijamh-2016-0013","article-title":"Electric wire in the urinary bladder in an adolescent boy","volume":"29","author":"Pal","year":"2017","journal-title":"Int. J. Adolesc. Med. Health"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"457","DOI":"10.1515\/ijamh-2014-0049","article-title":"Charging of the penis: An unusual method for sexual gratification","volume":"27","author":"Pal","year":"2015","journal-title":"Int. J. Adolesc. Med. Health"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"338","DOI":"10.1046\/j.1464-410X.1997.00422.x","article-title":"Laparoscopic removal of an electric wire from the bladder","volume":"80","author":"Ejstrud","year":"1997","journal-title":"Br. J. Urol."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"102122","DOI":"10.1016\/j.eucr.2022.102122","article-title":"Endoscopic removal of self-inflicted urethral foreign body: A case report","volume":"44","author":"Ahmed","year":"2022","journal-title":"Urol. Case Rep."},{"key":"ref_27","first-page":"S131","article-title":"Intravesical Foreign Body: Tertiary care center experience from Pakistan","volume":"66","author":"Soomro","year":"2016","journal-title":"JPMA J. Pak. Med. Assoc."},{"key":"ref_28","first-page":"35","article-title":"Irekpita Intravesical foreign bodies: A case report and a review of the literature","volume":"4","author":"Irekpita","year":"2011","journal-title":"Int. Med. Case Rep. J."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"e28103","DOI":"10.1097\/MD.0000000000028103","article-title":"Electric wire as a urethral foreign body: A case report","volume":"100","author":"Song","year":"2021","journal-title":"Medicine"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"58","DOI":"10.11604\/pamj.2017.27.58.12644","article-title":"Corps \u00e9tranger inhabituel intra-ur\u00e9tral: \u00c0 propos d\u2019un cas","volume":"27","author":"Bote","year":"2017","journal-title":"Pan Afr. Med. J."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"244","DOI":"10.1186\/1752-1947-8-244","article-title":"Retained self-inserted foreign body into the urethra associated with sequela urethral stenosis: A case report","volume":"8","author":"Amiroune","year":"2014","journal-title":"J. Med. Case Rep."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"1457","DOI":"10.1016\/j.radcr.2022.01.080","article-title":"An earphone wire inside the urinary bladder: A case report and comprehensive literature review of genitourinary polyembolokoilamania","volume":"17","author":"Saputra","year":"2022","journal-title":"Radiol. Case Rep."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"101850","DOI":"10.1016\/j.eucr.2021.101850","article-title":"Urethral self-insertion of a USB cable as sexual experimentation: A case report","volume":"39","author":"Loufopoulos","year":"2021","journal-title":"Urol. Case Rep."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"263","DOI":"10.1007\/s12610-011-0146-z","article-title":"Un c\u00e2blage inhabituel dans l\u2019ur\u00e8tre","volume":"21","author":"Ndiaye","year":"2011","journal-title":"Basic Clin. Androl."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1186\/s12301-022-00300-y","article-title":"Self-induced intravesical foreign body leading to bladder stone and renal failure: A case report","volume":"28","author":"Jamil","year":"2022","journal-title":"Afr. J. Urol."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1186\/1752-1947-1-153","article-title":"Successful removal of a telephone cable, a foreign body through the urethra into the bladder: A case report","volume":"1","author":"Trehan","year":"2007","journal-title":"J. Med. Case Rep."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"257","DOI":"10.1016\/j.urology.2016.05.045","article-title":"Urethral Foreign Bodies: Clinical Presentation and Management","volume":"97","author":"Palmer","year":"2016","journal-title":"Urology"},{"key":"ref_38","unstructured":"Ashley, C.W. (1944). The Ashley Book of Knots, Doubleday."},{"key":"ref_39","first-page":"32","article-title":"The Male Urinary Meatus","volume":"53","author":"Thompson","year":"1918","journal-title":"J. Anat."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1007\/s12262-012-0549-x","article-title":"The Size of External Urethral Meatus on Maximum Stretch in Indian Adult Males","volume":"76","author":"Bhat","year":"2014","journal-title":"Indian J. Surg."},{"key":"ref_41","doi-asserted-by":"crossref","unstructured":"Lierse, W. (1987). Male Urethra. Applied Anatomy of the Pelvis, Springer. Available online: http:\/\/link.springer.com\/10.1007\/978-3-642-71368-2_9.","DOI":"10.1007\/978-3-642-71368-2_9"},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"E634","DOI":"10.1111\/ans.16634","article-title":"Thinking outside the loop: Use of an endoloop in retrieving a urethral foreign body","volume":"91","author":"Parkin","year":"2021","journal-title":"ANZ J. Surg."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"101899","DOI":"10.1016\/j.eucr.2021.101899","article-title":"A novel technique to remove a urinary bladder foreign body endoscopically using an Endoloop","volume":"40","author":"McCombie","year":"2022","journal-title":"Urol. Case Rep."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1007\/s00345-009-0472-3","article-title":"Laser fragmentation of foreign bodies in the urinary tract: An in vitro study and clinical application","volume":"28","author":"Bedke","year":"2010","journal-title":"World J. Urol."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"624","DOI":"10.23736\/S0393-2249.18.03050-3","article-title":"Resistance of different guidewires to laser injury: An in-vitro experiment","volume":"70","author":"Morais","year":"2018","journal-title":"Minerva Urol. Nefrol."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"1180","DOI":"10.1016\/j.asjsur.2022.01.095","article-title":"Pneumovesicoscopy: An available technique for the retrieval of a rare foreign body in the urinary bladder","volume":"45","author":"Zhang","year":"2022","journal-title":"Asian J. Surg."},{"key":"ref_47","doi-asserted-by":"crossref","unstructured":"Esposito, C., Subramaniam, R., Varlet, F., and Masieri, L. (2022). Technique of Pneumovesicoscopy. Minimally Invasive Techniques in Pediatric Urology, Springer.","DOI":"10.1007\/978-3-030-99280-4"},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"449","DOI":"10.4111\/icu.2016.57.6.449","article-title":"Removal of foreign bodies embedded in the urinary bladder wall by a combination of laparoscopy and carbon dioxide cystoscopic assistance: Case report and literature review","volume":"57","author":"Jin","year":"2016","journal-title":"Investig. Clin. Urol."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"471","DOI":"10.1159\/000296284","article-title":"Review of Intentionally Self-Inflicted, Accidental and Iatrogetic Foreign Objects in the Genitourinary Tract","volume":"84","author":"Rieder","year":"2010","journal-title":"Urol. Int."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"17562872211022866","DOI":"10.1177\/17562872211022866","article-title":"Urethral polyembolokoilamania: Not a bread-and-butter issue","volume":"13","author":"John","year":"2021","journal-title":"Ther. Adv. Urol."},{"key":"ref_51","first-page":"e23400","article-title":"Should Psychiatry Be Consulted When Facing a Self-Inflicted Foreign Body in the Urinary Tract?","volume":"14","year":"2022","journal-title":"Cureus"},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1016\/0090-4295(88)90313-5","article-title":"Adolescent males who insert genitourinary foreign bodies: Is psychiatric referral required?","volume":"32","author":"Kenney","year":"1988","journal-title":"Urology"},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"222","DOI":"10.1080\/00926238208405824","article-title":"Urethral manipulation: An unusual paraphilia","volume":"8","author":"Wise","year":"1982","journal-title":"J. Sex Marital. Ther."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"106","DOI":"10.1007\/s12262-014-1181-8","article-title":"Multiple Impacted Urethral Metallic Needles and Screws (Foreign Bodies) Associated with Polyembolokoilamania","volume":"77","author":"Singh","year":"2015","journal-title":"Indian J. Surg."},{"key":"ref_55","doi-asserted-by":"crossref","unstructured":"Rinaldi, B., Villa, R., Sironi, A., Garavelli, L., Finelli, P., and Bedeschi, M.F. (2022). Smith-Magenis Syndrome\u2014Clinical Review, Biological Background and Related Disorders. Genes, 13.","DOI":"10.3390\/genes13020335"}],"container-title":["Diagnostics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2075-4418\/14\/24\/2825\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T16:52:40Z","timestamp":1760115160000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2075-4418\/14\/24\/2825"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,12,15]]},"references-count":55,"journal-issue":{"issue":"24","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["diagnostics14242825"],"URL":"https:\/\/doi.org\/10.3390\/diagnostics14242825","relation":{},"ISSN":["2075-4418"],"issn-type":[{"type":"electronic","value":"2075-4418"}],"subject":[],"published":{"date-parts":[[2024,12,15]]}}}